Allergic and hypersensitivity conditions in non‐specialist care: Flow diagrams to support clinical practice

• Published in: Allergy (Copenhagen) Vol. 77; no. 9; pp. 2618 - 2633
• Main Authors: Ryan, Dermot, Flokstra – de Blok, Bertine M. J., Clark, Evangéline, Gaudin, Clara, Mamodaly, Myriam, Kocks, Janwillem, Velde, Jantina Lucia, Angier, Liz, Romberg, Kerstin, Gawlik, Radek, Demoly, Pascal, Tanno, Luciana Kase
• Format: Journal Article
• Language: English
• Published: Denmark Blackwell Publishing Ltd 01-09-2022; Wiley
• Subjects: Allergic diseases; Allergies; Allergology; allergy/hypersensitivity; Anaphylaxis; Anaphylaxis - diagnosis; Anaphylaxis - etiology; Anaphylaxis - therapy; Asthma; Clinical Medicine; Diagnosis; Drug Hypersensitivity; Family physicians; flow-diagram; Food allergies; Food Hypersensitivity - diagnosis; Humans; Hypersensitivity - diagnosis; Hypersensitivity - therapy; Immunology; Klinisk medicin; Life Sciences; Lungmedicin och allergi; Medical and Health Sciences; Medical diagnosis; Medical education; Medical personnel; Medicin och hälsovetenskap; non-specialist care; Primary care; Respiratory Medicine and Allergy; Urticaria; allergy/hypersensitivity; non-specialist care; diagnosis; primary care; flow-diagram
• ISSN: 0105-4538; 1398-9995
• DOI: 10.1111/all.15273

Most patients presenting with allergies are first seen by primary care health professionals. The perceived knowledge gaps and educational needs were recently assessed in response to which the LOGOGRAM Task Force was established with the remit of constructing pragmatic flow diagrams for common allergic conditions in line with an earlier EAACI proposal to develop simplified pathways for the diagnosis and management of allergic diseases in primary care. To address the lack of accessible and pragmatic guidance, we designed flow diagrams for five major clinical allergy conditions: asthma, anaphylaxis, food allergy, drug allergy, and urticaria. Existing established allergy guidelines were collected and iteratively distilled to produce five pragmatic and accessible tools to aid diagnosis and management of these common allergic problems. Ultimately, they should now be validated prospectively in primary care settings.